Organization · Type 2 NPI

Memorial Medical Center

Rural Health Clinic/Center · Port Lavaca, TX

NPI number 1497153589 Active

Practice location

1016 N Virginia St
Port Lavaca, TX 77979-3000

Call (361) 552-0325 Map

Fax (361) 500-6904

Mailing address

815 N Virginia St
Port Lavaca, TX 77979-3025

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Pediatrics Physician 208000000XNone listed
Rural Health Clinic/Center Primary 261QR1300XNone listed
Family Nurse Practitioner 363LF0000XNone listed

Rural Health Clinic/Center: Definition to come...

11 other providers at this address

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About NPI 1497153589

Memorial Medical Center's National Provider Identifier is 1497153589, issued on Dec 5, 2014. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Port Lavaca, TX. The record was last updated on Oct 30, 2024.